小儿高热惊厥临床资料分析

Analysis of 168 febrile convulsion cases of childhood

目的探讨小儿高热惊厥的临床特点、危险因素及转归,为此病防治提供依据。方法对168例小儿高热惊厥的发病年龄、性别、基础病因、发病季节、体温高度等临床资料进行回顾性分析。结果发病以0.5～3.0岁最多,惊厥发生时体温在38.5℃以上占99.40%,男性发病占64.88%,女性占35.12%;结论小儿高热惊厥发病年龄有特征性,与发热相关,感染是常见的基础疾病。总体预后好,但频发有发展至癫痫可能,需加以干预。

Objective To study the clinical features,risk factors and outcome of febrile convulsion in children. To promote the understanding and recognition about this disease. Method The clinical data on 168 children with febrile convulsion were retrospectively analysed. Results 107 cases alleviated spontaneously;61 alleviated after oxygen-inhaling and/or intravenous use of diazepan.ln 73 follow-up cases,24 recurred,among which,16 recurred for once,8 for more than twice;2 children had the last diagnosis of epilepsy. The onset ages were mainly 6 months-2 years. Temperature during convulsion was above 38.5℃ in 167 cases （99.4%）, among whom male patients were 64.88%, female 35.12%. Conclusion Age period is relatively limited, febrile convulsion is associated closely with high fever, infection is an usual cause.Overall, outcome is well,but frequent recurrence may lead to epilepsy, which should be taken intervention.